SCOPAHAdvanced Heart Failure: Patient Preferences, Healthcare Access and Quality of Life Study
This observational study aims to assess various aspects of life in patients with advanced heart failure, including changes in daily activities, distress levels, overall quality of life, cognitive status, treatment compliance, and perceived quality of care, as well as total healthcare expenditures in the last year of life.
Data Collection
Collected from today forward - ProspectiveCohort
Tracking disease incidence in order to identify risk factors and understand disease progression over time.Summary
Study start date: July 24, 2017
Actual date on which the first participant was enrolled.This study focuses on patients in Singapore who have advanced heart failure, specifically those in the New York Heart Association class III and IV. Its main goal is to understand the relationship between patient preferences, healthcare access, utilization, costs, and quality of life. By enrolling 300 patients and surveying them every 4 months for two years or until they pass away, the study aims to identify strategies to improve the end-of-life experience. Recognizing the significant role of family in medical decision making in Asia, the study also involves caregivers to evaluate their role in treatment decisions. During the study, various aspects of the patients' condition will be assessed. This includes changes in daily activities, distress levels, overall quality of life, and cognitive status. The study will also monitor the patients' compliance with treatment regimens and self-care behaviors. Patients' perceived quality of care during the last year of life will be evaluated, and the total healthcare expenditure during this period will be calculated through analysis of medical bills.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.300 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Cohort
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Over 21 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Criteria
Inclusion Criteria (patients): * Age ≥ 21 years old * Singaporean or Singapore Permanent Resident * Diagnosis of advanced Congestive Heart Failure (New York Heart Association Class III and IV). * Intact cognition (of patients ≥60 years of age) as determined by the Montreal Cognitive Assessment. If patient fails the cognitive test, he/she continues to be eligible for the study although self-reported data will no longer be collected. The primary informal caregiver of the patient will be approached for providing consent on behalf of the patient, to allow access to review of patient's medical and billing records The inclusion criteria (primary informal caregivers) * Age ≥ 21 years old * Main person or one of the main providing care to the patient (e.g. accompanying patient for doctor's visits, helping the patient with day to day activities) * Main person or one of the main ensuring provision of care (e.g. supervision of foreign domestic worker so that the patient is looked after) * Main person or one of the main involved in making decisions regarding treatment the patient receives * Patient they are caring for is enrolled in the study The inclusion criteria (physicians) • Patients they are treating are enrolled in the study Exclusion Criteria (patients): * Patients who are not Singaporeans or Singapore Permanent Residents * Patients who are ≤21 years of age * Patients with psychiatric or cognitive disorders Exclusion criteria (caregivers) • Foreign domestic workers/ maids will be excluded from this study
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.Study Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 1 location
National Heart Centre Singapore
Singapore, SingaporeOpen National Heart Centre Singapore in Google Maps